Earnings call transcript: Sotera Health Q4 2024 misses revenue forecast

Sotera Health Co (NASDAQ:SHC). (market cap: $3.86 billion) reported its fourth-quarter earnings for 2024, revealing a slight miss in revenue expectations, which led to a notable decline in its stock price. The company posted earnings per share (EPS) of $0.21, slightly above the forecasted $0.2023. Revenue came in at $290.2 million, falling short of the anticipated $290.7 million. This discrepancy contributed to a 7.81% drop in Sotera Health’s stock during pre-market trading. According to InvestingPro analysis, the company currently appears undervalued compared to its Fair Value, with analysts setting price targets between $13 and $20.

Key Takeaways

• Sotera Health’s Q4 revenue missed forecasts, contributing to a stock decline.
• EPS exceeded expectations, albeit marginally.
• The company reported a full-year revenue growth of 4.9% for 2024.
• Sotera Health maintained strong customer satisfaction and improved operational efficiency.
• Market volatility in commercial sectors remains a challenge.

Company Performance

Sotera Health’s overall performance in 2024 demonstrated resilience, with a 4.9% increase in full-year revenue to $1.1 billion. The company saw a 3.9% growth in adjusted EBITDA, reaching $548.6 million, maintaining approximately 50% in adjusted EBITDA margins. Despite these gains, the fourth quarter presented challenges with a 6.5% decline in revenue and an 8.3% drop in adjusted EBITDA compared to the previous year. InvestingPro data shows the company maintains strong fundamentals with a healthy gross profit margin of 55.16% and a robust current ratio of 2.88, earning a "GOOD" financial health score of 2.92 out of 5.

Financial Highlights

• Full Year 2024 Revenue: $1.1 billion (4.9% increase)
• Q4 2024 Revenue: $290 million (6.5% decline)
• Adjusted EBITDA: $548.6 million (3.9% growth)
• Q4 Adjusted EBITDA: $153 million (8.3% decline)
• Full Year Adjusted EPS: $0.70 (2 cent decrease from 2023)

Earnings vs. Forecast

Sotera Health reported an EPS of $0.21, slightly surpassing the forecast of $0.2023, marking a modest positive surprise. However, the revenue of $290.2 million fell short of the $290.7 million forecast, reflecting a minor miss that impacted market sentiment.

Market Reaction

Following the earnings announcement, Sotera Health’s stock experienced a 7.81% decline in pre-market trading, reflecting investor concerns over the revenue miss. The stock’s last close was at $13.64, with a 52-week range between $10.71 and $17.08, indicating significant volatility in response to the earnings report.

Outlook & Guidance

Looking ahead, Sotera Health anticipates a revenue growth of 4-6% for 2025, with adjusted EBITDA expected to grow by 4.5-6.5%. The company forecasts sequential margin improvements and plans capital expenditures between $190-210 million. Sotera Health aims to generate $500-600 million in free cash flow over the next three years. InvestingPro subscribers have access to 10 additional exclusive ProTips and comprehensive analysis, including detailed insights on the company’s growth trajectory and valuation metrics. The platform’s Pro Research Report offers deep-dive analysis of Sotera Health’s financial health and market position among 1,400+ top US stocks.

Executive Commentary

CEO Michael Petrus highlighted the company’s ongoing growth, stating, "2024 marks the nineteenth consecutive year of annual revenue growth." He also emphasized the importance of capital discipline, noting, "We continue to scrutinize our CapEx. It’s the largest portion of our free cash flow."

Risks and Challenges

• Market volatility, particularly in the commercial sector, could impact future performance.
• Potential supply chain disruptions may pose operational challenges.
• Economic pressures and tariff impacts could affect profitability.
• Competitive pressures in the medical device and pharma markets remain a concern.
• The need for continual innovation and expansion to maintain growth trajectory.

Q&A

During the earnings call, analysts inquired about volume recovery and pricing expectations across different segments. CEO Michael Petrus noted that volume recovery would be crucial for achieving the higher end of their guidance. He also addressed pricing expectations, with Sterigenics pricing expected at the high end of the 3-4% range, while Nelson Labs and Nordion are anticipated at the low end.

Full transcript - Sotera Health Co (SHC) Q4 2024:

Conference Operator: Good morning, and welcome to the Cetera Health Fourth Quarter and Full Year twenty twenty four Conference Call. All participants will be in a listen only mode. After today’s presentation, there will be an opportunity to ask questions. Please note this event is being recorded. I would now like to turn the conference over to Vice President of Investor Relations and Treasurer, Mr.

Jason Peterson. Jason, please go ahead.

Jason Peterson, Vice President of Investor Relations and Treasurer, Cetera Health: Good morning and thank you. Welcome to Cetera Health’s fourth quarter and full year twenty twenty four earnings call. You can find today’s press release and accompanying supplemental slides on the Investors section of our website at ceterahealth.com. This webcast is being recorded and a replay will be available in the Investors section of the Cetera Health website. On the call with me today are Chairman and Chief Executive Officer, Michael Petrus and Chief Financial Officer, John Lyons.

During the call, some of our comments may be considered forward looking statements. The matters addressed in these statements are subject to risks and uncertainties that could cause actual results to differ materially from those projected or implied. Please refer to Sotero Health’s SEC filings in the forward looking statements slide at the beginning of the presentation for a description of these risks and uncertainties. The company assumes no obligation to update any such forward looking statements. Please note that during the discussion today, the company will present both GAAP and non GAAP financial measures, including adjusted EBITDA, adjusted EBITDA margin, segment income margin, tax rate applicable to net income, adjusted net income, adjusted EPS, net leverage ratio and free cash flow as well as constant currency comparisons.

A reconciliation of GAAP to non GAAP measures for all relevant periods may be found in the schedules attached to the company’s press release and in the supplemental slides of this presentation. The operator will be assisting with the Q and A portion of the call today. Please limit yourself to one question and one follow-up so that everyone has an opportunity to ask questions. As always, if you have any questions after the call, please feel free to reach out to me and the Investor Relations team. I’ll now turn the call over to Centerra Health Chairman and CEO, Michael Petros.

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Good morning and welcome to today’s call. This morning we reported both top and bottom line growth for the full year 2024, while delivering $1,100,000,000 of revenue and approximately 505% adjusted EBITDA margins. 2024 marks the nineteenth consecutive year of annual revenue growth, further evidence of the resiliency of our business model and the critical role we play in healthcare. In addition to the growth we delivered, we continue to make progress in 2024 on our strategic priorities. Throughout the year, our customer satisfaction rates continue to be over 80%, which reflects our focus on serving our customers with excellence.

We also strengthened our balance sheet by successfully refinancing our capital structure, extending maturities to 02/1931. We finished the year with strong liquidity. In our Sterigenics business, we completed a capacity expansion and continue to make significant progress on our U. S. EO facility enhancements.

Nelson Labs achieved sequential margin improvement as the year progressed. Embedded Labs and Expert Advisory Services both relays double digit revenue growth versus 2023. The performance in Embedded Labs demonstrates the cross business unit synergies we discussed at our Investor Day this past November. Norion grew revenue in the upper single digits for the year, while continuing to make progress on our cobalt development projects. The first installation of cobalt was placed into a Darlington reactor with an expected cobalt 60 harvest in 2028.

I want to highlight a few items from our fourth quarter and full year 2024 financial results. I’ll begin with the fourth quarter. As expected, total company revenue declined 6.5% and adjusted EBITDA declined 8.3% compared to the fourth quarter twenty twenty three. On a constant currency basis, revenue declined 5.2% and adjusted EBITDA declined 6.7%. As we communicated during our last earnings call, Norden revenue in the fourth quarter was expected to be down significantly versus the prior year’s 50%, five point zero % of Noreon’s full year 2023 revenue occurred in the fourth quarter.

As a reminder, Noreon revenue can be lumpy from quarter to quarter due to the timing of Cobalt-sixty harvest schedules. Over the long term, Nordeon revenue is very consistent. Transitioning to the full year 2024 as compared to 2023, total company revenues increased 4.9% or 5.4% on a constant currency basis and adjusted EBITDA grew by 3.9% or 4.6% on a constant currency basis. John will take us through the business results in more details later.

John Lyons, Chief Financial Officer, Cetera Health: I also want to take

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: a moment to highlight progress made on our corporate responsibility initiatives. We welcome President and CEO of Hemianetics Corporation, Chris Simon to the Board in August of last year. Chris brings extensive experience in the medical device industry, which we believe will serve us and our stakeholders well. In January, we named Vince Petrell, Lead Independent (LON:IOG) Director. Vince has been on our Board since 2020 and brings a wealth of experience and deep understanding of Centerra Health’s strategic vision and operations.

Additionally, we published our third annual corporate responsibility report. Overall, 2024 was a good year for Centerra Health and we continue to stay focused on serving our customers with excellence and we look forward to delivering growth once again in 2025. Earlier today, we provided our initial 2025 outlook. For the full year 2025, we expect to deliver another year of top and bottom line growth with total company revenue growth to be in the range of 4% to 6% on a constant currency basis when compared to 2024, with the midpoint being within our long term 5% to 7% guidance range. Adjusted EBITDA growth is expected to be in the range of 4.5 to 6.5% on a constant currency basis.

Now, John will take us through our fourth quarter and full year 2024 financials and our 2025 outlook in more depth.

John Lyons, Chief Financial Officer, Cetera Health: Thank you, Michael. I will first cover fourth quarter and full year 2024 results on a consolidated basis and then provide some details on each of the business segments along with updates on capital deployment and leverage. I will then conclude with additional details on the 2025 outlook. On a consolidated total company basis, fourth quarter revenues declined by 6.5% to $290,000,000 or 5.2% on a constant currency basis versus the same period in the prior year. As Michael mentioned previously, this was driven by the year over year comparison at Nordion where we had 50% of twenty twenty three revenue in the fourth quarter due to timing of reactor harvest schedule.

Fourth quarter adjusted EBITDA declined by 8.3% to $153,000,000 or 6.7% on a constant currency basis compared to Q4 twenty twenty three. Adjusted EBITDA margins were 52.7% in the quarter. Our reported interest expense for the fourth quarter was $41,000,000 down from $43,000,000 for the same period last year. Reported net income for fourth quarter twenty twenty four was $12,000,000 or 0.04 per diluted share. Adjusted EPS was $0.21 for the quarter, a decrease of $0.02 from Q4 twenty twenty three.

Now let’s take a closer look at our segment performance for the fourth quarter. In the fourth quarter, Sterigenics delivered 4.2% revenue growth to $179,000,000 or 5.3% on a constant currency basis versus Q4 twenty twenty three. Revenue growth drivers for the quarter included favorable pricing of 4.2% as well as favorable volume and mix of 1%, partially offset by changes in foreign currency exchange rates of approximately 1%. Compared to the prior year quarter, segment income grew 5.1% to $100,000,000 or 6.4% on a constant currency basis. Drivers for growth were favorable pricing as well as volume and mix, partially offset by inflation and changes in foreign currency exchange rates, while segment margins increased by approximately 50 basis points.

As expected, Nordion’s fourth quarter revenue decreased by 29% to $57,000,000 driven by unfavorable volume mix of 31 and changes in foreign currency exchange rates of 2.9%, partially offset by payroll pricing of 5.3% compared to the same quarter in the prior year. Nordion segment income decreased by 34% to $35,000,000 and segment income margins contracted by approximately four seventy basis points to 62%, primarily driven by unfavorable volume mix as well as changes in foreign currency exchange rates. In the fourth quarter, Nelson Labs revenue declined 7.3% to $54,000,000 or 7% on a constant currency basis compared to the same quarter last year. The decline was driven by unfavorable volume mix of 9.8% primarily due to an expected change of Expert Advisory Services revenue as we communicated during our Q3 earnings call. In addition, we consolidated a lab which supported our margin improvement for the quarter.

Volume mix was partially offset by favorable pricing of 2.9%. Segment income decreased 3.3% to $18,000,000 or 2.5% on a constant currency basis, driven by unfavorable volume and mix and higher employee compensation costs, partially offset by favorable pricing and labor productivity. Segment income margin improved year over year by approximately 140 basis points to 33% due to the lower expert advisory services revenue, favorable pricing and improved labor productivity. Now let’s turn to the full year results on a consolidated basis. We delivered $1,100,000,000 in revenue, up 4.9% or 5.4% on a constant currency basis versus 2023.

We grew adjusted EBITDA 3.9% to $548,600,000 or 4.6 on a constant currency basis, resulting in an adjusted EBITDA margins of approximately 50%. Reported interest expense for the full year was $165,000,000 Reported net income for 2024 was $44,000,000 or 0.16 per diluted share. Adjusted EPS for the year was $0.7 per weighted average diluted share, a decrease of $0.02 versus 2023, primarily driven by higher interest expense. I will now turn to the balance sheet, cash generation and capital deployment. The company continues to be in a strong liquidity position and has no borrowings under the revolving line of credit.

Our capital expenditures for 2024 finished at $179,000,000 As Michael mentioned, Steregenics completed one capacity expansion during the year and we continue to make significant progress on the EO facility enhancements and Nordion Cobalt development projects. We generated nearly $225,000,000 of operating cash flow in 2024 and free cash flow generation was positive for the year. Lastly, our net leverage ratio improved slightly versus twenty twenty three finishing the year at 3.7 times. Now, I’d like to discuss our 2025 outlook. For the full year, we expect total revenues to grow in the range of 4% to 6% on a constant currency basis with the midpoint being within the three year target that we provided at our November 2024 Investor Day.

We expect to generate operating leverage resulting in margin improvement and adjusted EBITDA growth in the range of 4.5% to 6.5% on a constant currency basis. Based on January average currency rates, we expect foreign exchange to be a headwind of approximately 2.25% on revenue and approximately 2.5% on adjusted EBITDA with the first three quarters of the year having the most pronounced impact. We continue to monitor the potential impact of tariffs, but at this time we have not incorporated any impact into our guidance. We expect total company price to be around the midpoint of our long term stated range of 3% to 4%. From a revenue cadence perspective, Q1 typically is the lightest quarter of the year for the company and we expect that to be the case again in 2025.

Theragenyx Q1 ’20 ’20 ’5 constant currency revenue growth is expected to be in the low to mid single digits versus Q1 twenty twenty four. And we expect gradual improvement throughout the remainder of the year. The proportion of Nordion revenues for the first and second half of twenty twenty five will be similar to what they were in 2024 with constant currency full year revenue growth expected to be in the mid single digits versus 2024. We expect Q1 twenty twenty five revenue to be up slightly versus Q1 twenty twenty four. Over the past few years, we have provided visibility to the revenue risk associated with Russian cobalt supply.

As of today and similar to prior years, there is an approximate risk of between 03% of total company 2025 revenue. In Nelson, we expect revenue to be back half weighted due to the difficult comparisons related to expert advisory services, which we have discussed. From a Q1 perspective, we expect Nelson Labs revenue to be down low double digits and margins to be better versus Q1 twenty twenty four with sequential improvement over the course of the year. For 2024, we expect interest expense between $155,000,000 and $165,000,000 based on the current forward rate curve. We are projecting an effective tax rate applicable to adjusted net income in the range of 33% to 35%.

Adjusted EPS is expected to be in the range of $0.7 to $0.76 We expect a fully diluted share count in the range of $286,000,000 to $287,000,000 shares on a weighted average basis. From a capital deployment standpoint, we will continue to prioritize organic growth and deleveraging as well as opportunistic M and A. We expect capital expenditures in a range of $190,000,000 to $210,000,000 in 2025. As we have previously talked about, we have been in a multi year period of elevated CapEx investment. The peak of that spend is now behind us and we continue to expect capital expenditures to decrease over the next few years to approximately $110,000,000 in 2027.

This decrease in CapEx along with revenue growth will help us achieve our goal of generating between $500,000,000 to $600,000,000 of free cash flow over the next three years. Our guidance does not assume any M and A. Finally, we anticipate slight improvement in net leverage in 2025. I will now turn the call back over to Michael for closing remarks.

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Thank you, John. As we look forward to 2025, we will continue to focus on our priorities. As we highlighted during our Investor Day this past November, our priorities are excellence in serving our customers with end to end solutions, winning in growth markets, drive operational excellence to enhance free cash flow and continue to be disciplined with respect to our capital deployment initiatives. At this point, operator, let’s open the call for Q and A.

Conference Operator: Thank you. We will now begin the question and answer session. And the first question will come from Patrick Donnelly with Citi. Please go ahead.

Patrick Donnelly, Analyst, Citi: Hey guys, thanks for taking the questions. Michael, maybe one just on the overall volume backdrop, both that you saw in the quarter and then also as you think about the guidance for the year, helpful to hear some of that 1Q commentary, particularly on Sterigenics and Nelsin. But just how are you mapping out the volume recovery, obviously things like destocking? How do you think about that piece as you work your way through 2025? And what’s the underlying assumptions there?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Yes. Good morning, Patrick. I would say overall, when you reflect on 2024, the year played out pretty much like we thought it would be with gradual improvement throughout the year. As we stated on the last earnings call, we would have liked to see a little bit more volume growth in Steri and Nelson. But as we look forward into 2025, we continue to see gradual improvement.

We’re not hearing a lot of noise around destocking. We’ve got a couple of customers that had some challenges in the fourth quarter that might hang over a little bit in the Sterigenics going into the first quarter. But by and large that is of the vast majority I’m sorry, the vast minority. We’re not hearing a lot of comments around that and we think we’ll see continued volume improvement as the year progresses like we did in 2024.

Patrick Donnelly, Analyst, Citi: Okay. That’s helpful. And then John, maybe just on the margins, as we think about the progression through the year, can you just talk about the moving pieces? Always curious to hear about the pricing assumptions in the guide and just how we should think about margins as we work our way through 2025? Appreciate it guys.

John Lyons, Chief Financial Officer, Cetera Health: Yes. No, we’re excited for this year. We definitely see some progress in margins as we look forward on a constant currency basis to some solid improvement in margins as you get from the guide of top line with EBITDA growing a little bit further than the top line. As we look, I’d just remind you that Q1 is typically the lowest quarter. I think that’s both on a revenue side and on the margin perspective as well.

And that’s probably the biggest piece I’d point you to at this point, Patrick.

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: The only other thing I’d call out, Patrick, is just the performance you saw at Nelson where they continue to improve their margins and we’d expect sequential improvement as the year progresses on that side of the business as well. Joe and the team are executing along the lines we communicated previously.

John Lyons, Chief Financial Officer, Cetera Health: Understood. Thank you, guys.

Conference Operator: The next question will come from Sean Dodge with RBC Capital Markets. Please go ahead.

Sean Dodge, Analyst, RBC Capital Markets: Yes. Thanks. Good morning. Maybe Michael just kind of following on what you just talked about there in Nelson and the margin improvement. It sounds like John mentioned some work you all did there recently that should create some kind of durable longer term benefits in Nelson margins.

Maybe could

John Lyons, Chief Financial Officer, Cetera Health: you just give us a

Sean Dodge, Analyst, RBC Capital Markets: little bit more detail on what you’ve done there and what you kind of the work you’ve done there to kind of just drive the confidence in the sequential improvement in Nielsen margins

John Lyons, Chief Financial Officer, Cetera Health: you expect over the year?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Yes. Okay, Sean. I would just recall back if you think back to early last year, the latter part of 2023, ’1 of the challenges we had is we didn’t really manage the labor productivity as well as we would have liked because we were expecting volumes to recover faster than they did. And Joe and the team reacted to that in 2024. You saw the improvements in the margins.

And I think that sets us up in a pretty good spot for 2025. So I think the biggest thing is the labor productivity and just making sure we have alignment with the labor needs relative to the order patterns. And our service has been outstanding there. The highest numbers of we saw January even just a record number of performance on service that ended last year in a very strong place. So I’d say that’s the biggest thing.

John also referenced that we had a smaller lab that we did some consolidation around and brought some of that volume back into the core business operations. So those would be the biggest thing, but I’d say the biggest impact is just balancing the labor productivity with the order patterns.

Sean Dodge, Analyst, RBC Capital Markets: Okay. And then within Nelson, the three divisions there, I think before you talked about having expert advisory routine and validation. I think before you mentioned expert advisory was kind of low double digits as a proportion of revenue. What’s the rough mix of the other two? And is there a big margin differential between all of those?

So is mix changes amongst the kind of the different Nelson kind of divisions or functions? Does that have a big impact on overall segment margins too?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: No, I would not say so much. It’s fiftyfifty, I’d say between routine and validation. Think of it in those terms roughly. It can vary from quarter to quarter depending on where the validation goes on trends. But clearly the expert advisory is the lowest margin business of those three categories if you look at it.

And like you mentioned, it’s in that low double digits as a percent of total. The key is really driving that core lab volume because that is more favorable mix in Expert Advisory Services. But the key part with Expert Advisory Services is our ability to generate leads that help go across business units for Sterigenics and Nelson. It’s another big value opportunity. But as that volume is a little lumpier on the Expert Advisory Services side, that’s why we want to call that out and let you know as we did in the fourth quarter as well as what we look forward on the first quarter.

Sean Dodge, Analyst, RBC Capital Markets: Okay. That’s great. Thanks again.

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Thanks, Sean. Sean.

Conference Operator: The next question will come from Luke Sorgott with Barclays (LON:BARC). Please go ahead.

Luke Sorgott, Analyst, Barclays: Great. Thanks. I just kind of want to follow-up again on what Sean was getting into there with the Nelson lab and the lab closure. I mean, I thought that the fear here is basically is volume starting to come back and like the demand is coming on, like are you guys going to have enough capacity within Nelson to kind of meet that demand and get back to normal? And if you’re closing it because that’s kind of what the current demand environment is, it’s like there’s something structurally or more long term within the Nelson demand and those volumes that are just causing you to right size that your capacity to like a go forward lower demand level?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Yes. So Luke, this is Michael. We’re in a good spot in capacity in that business. We had a lab that was generating revenue with not a lot of EBITDA and we were able to consolidate that and get some more operating leverage in the business. That’s the biggest thing.

So we’re good on capacity wise.

Luke Sorgott, Analyst, Barclays: Okay. And then I guess just a clean up here as you guys think about the for the full year and the guide, did you guys break out I was just kind of jumped in here a little bit late, but did you break out anything on by segment and how you’re looking at it?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Yes. We I would just tell you, first quarter, we gave some visibility in

John Lyons, Chief Financial Officer, Cetera Health: the first quarter, right?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: On a constant currency revenue basis, we expect low to mid single digits for Sterigenics. What we when we think as the year goes on, we should see total year mid single digits revenue growth in constant currency. On the Norion side, I think of that the comments that we made was first half, second half from a percent of total is going to be similar to 2024. And again, in this business, we expect mid single digits and constant currency revenue growth.

John Lyons, Chief Financial Officer, Cetera Health: Yes, and a little growth in Q1.

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Yes. And then on the Nelson Labs side, we’ll have low decline of low double digits in the first quarter versus last year, but margins are expected to be better than last year first quarter. And the revenue growth is expected to be back end loaded because of the expert advisory comparisons. And we just say for the total year, they’ll be thinking about low single digits, mid single digits and revenue growth in constant currency. And then I’d say also the other thing to keep in mind is the point I made is we’ll see sequential margin improvement over the course of the year with the Nelson side.

So that’s kind of how I think about the segments. John, anything else

John Lyons, Chief Financial Officer, Cetera Health: to add there? No, I think that covers it.

Luke Sorgott, Analyst, Barclays: Great. Thank you.

Conference Operator: The next question will come from Matthew Sykes with Goldman Sachs. Please go ahead.

Yvi, Analyst, Goldman Sachs: Hi. This is Yvi on for Matt. Thanks for taking my questions. So the first one, could you provide an update on how the cross selling initiative is going between Theragenyx and Nelson Labs? And then is this benefit included within the 25 guide?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Yes. Good morning. Yes. It’s going well. The XPU activity is going well.

We referenced in our prepared remarks about the embedded labs and continued growth that we’re seeing there within the Nelson Labs, which really benefits from the Sterigenics volume uplift as well. So and it is included in the 25% guide.

Yvi, Analyst, Goldman Sachs: Okay, great. And then understand tariffs are not baked in. If there is a negative impact, do you have the capabilities to shift things around a little bit? And then is there also a risk that there would be a positive demand if customers needed to shift their manufacturing around due to tariffs?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Yes. I don’t think we haven’t contemplated the positive demand aspect, but I don’t I’m just I think through my answer here, I don’t see that scenario playing out. I’d just keep in mind, we don’t have clarity yet exactly what tariffs could look like. We’re being prepared for that. Think about it in the context of Canada would be the largest place that we’d feel the impact of that and we feel pretty good about our ability to have the customers be able to absorb that tariff.

It would be on cobalt, for example, coming into The United States. So we think that’s something to be managed. And then I would say that would be the biggest thing on tariffs that I’d be thinking about right now.

Yvi, Analyst, Goldman Sachs: Great. Thank you.

Conference Operator: Your next question will come from Casey Woodring with JPMorgan. Please go ahead.

Casey Woodring, Analyst, JPMorgan: Great. Thank you for taking my questions. Can you maybe just talk about how you expect the different end markets you serve in Sterigenics to perform in 2025? I know you probably should have an easier comp coming up in bioprocessing, albeit it’s a lower proportion of revenue there. So maybe just walk us through the different end markets and how you expect those to trend?

And then I have one follow-up. Thanks.

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Great. I’d say pharma, which is a smaller piece of our business, we think that will continue to improve as the year goes on. Med device as well. I think all of them, KT (NYSE:KT), overall, we think will improve, generally speaking, on the Sterigenics side, med device, pharma. Commercial will be a little bit choppier.

We see some dynamics there in the commercial side that might make it a little choppier. And then on bioprocessing, we did see growth sequentially as the year progressed in the fourth quarter again on a volume basis. So we’d expect that to continue in 2025 as well.

Casey Woodring, Analyst, JPMorgan: Got it. That’s helpful. And then my follow-up here is just how should we think about the pacing of CapEx over the course of the year given the greenfields you expect to come online? And can you maybe just talk us how you talk about how you expect those greenfield additions to impact margins both in the near term and then as volume ramps over the medium to long term at those facilities? Thank you.

John Lyons, Chief Financial Officer, Cetera Health: Yes, John. Yes, Casey, so we mentioned we’ve got one greenfield coming online this year. We’re getting that wrapped up here in the next few months. From a pacing perspective, I probably won’t get into the details of quarter by quarter. We feel good about the guide for the year.

We definitely feel good about their direction for CapEx as we continue to work this down to our objectives in 2027 and our overall free cash flow objective. Bringing this greenfield online doesn’t have a huge margin impact. There are some startup related costs, but it’s nothing significant that I would call out. And then we continue to work on the last greenfield for Sterigenics, where we would expect that to come online probably into ’27 at this point as we continue to make sure we got the good process in place in getting the returns that we need out of that project.

Casey Woodring, Analyst, JPMorgan: Got it. Thank you.

Conference Operator: The next question will come from Brett Fishburne with KeyBanc. Please go ahead.

Brett Fishburne, Analyst, KeyBanc: Hey guys. Excuse me. Thank you very much for taking the questions. Just wanted to start off with one on the guidance. Just more broadly thinking about the 4% to 6% constant currency growth range, curious on what you would call out as some of the biggest swing factors that you’re thinking maybe could enable growth toward the higher end of that range or maybe a little bit better versus the low end?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Yes. Brett, this is Michael. I would say it’s all about volume. If the volume comes in and the med device side, we’ll be very well positioned in both Nielsen and Sterigenics that would be able to give us outperformance.

Brett Fishburne, Analyst, KeyBanc: All right. Excellent. And then just a follow-up here on pricing. I think you indicated you’re expecting kind of total company pricing around the midpoint of that 3% to 4% long term range. Maybe if you could just break that down a little bit by segment, like where you’re expecting to see more pricing growth in context of some of the moving pieces you’ve discussed?

Thank you very much.

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Great. Just on the pricing side, 3% to 4%, I’d see Steri would be on the high end of that, Nelson would be on the low end of that and then Noreen would be on the low end of that, so I would be thinking about it, which is a little bit different than we’ve historically had with the Nordian side. As you know, we talked about that at Investor Day. But as we look out for the short term, you expect that Nordian would be on the low end now versus being on the high in the past. But that’s how I think about it.

Steri high end, Nelson and Nordian on the low end of that range.

Brett Fishburne, Analyst, KeyBanc: Okay, great. Thank you.

Conference Operator: The next question will come from Dave Windley with Jefferies. Please go ahead.

Jason Peterson, Vice President of Investor Relations and Treasurer, Cetera Health0: Hi, good morning. Thanks for taking my questions. I wanted to follow-up on CapEx first. Your comments your guidance for 25% and then I think your comments for the longer term are both lower than you talked about at the Investor Day, which seems positive relative to your free cash flow generation goals. Wondering if that was just efficiency in some of your projects or timing related?

Just wanted to make sure I understood why those were different from November. Thanks.

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: David, I would just this is Michael. Good morning. I would just see we continue to scrutinize our CapEx. It’s the largest portion of our free cash flow outside EBITDA, right? So we’re going to continue to scrutinize that.

And as John mentioned, one of the programs we’re looking at out to 2027 and we’re going to make sure that we get the returns on these programs and get commitments from the customers before we fully deploy all that capital. So that’s had a little impact and we’ve been able to get some efficiencies we’ve gone through. And as we look at CapEx, if the programs don’t come into the returns we expect, we’re not going to deploy the capital. So we feel very good about where we’re at in 2027 guide and we’re going to continue to work towards that.

Jason Peterson, Vice President of Investor Relations and Treasurer, Cetera Health0: Okay. And so on that, appreciate the return discipline. Is it right to think that a how should I ask? So is it right to think that any lack of deployment of capital against certain projects would not impact your LRP thought process or could it adjust what you think you could achieve from a growth standpoint?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: No, I think we feel good about our capacity. As you know, we’ve got capacity in place. Volumes have been a little softer. So we’re continuing to make sure that we have a good understanding of what capacities our customers need. There’s a couple of spots that are challenging, but we’re going to work through that overall.

But we don’t see that we don’t see the change in capital deployment impact in the LRP revenue guide that we’ve put out there.

Jason Peterson, Vice President of Investor Relations and Treasurer, Cetera Health0: Okay. On the Cobalt program or project, you mentioned, I think first harvest from Darlington in 2028 maybe. Correct. Is that a I’m curious about the process. Is that a test case as in you’ll harvest it and then need to test to see whether it produced the product that the quality that you need or has that already been validated in which case you know that that ’28 harvest is good to go?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Yes. It’s more of the latter. We feel very good about our ability to harvest that and use that cobalt in 2028. That program is going very, very well. Its timing is on track, capital deployment is a little lighter than we had expected, which is another positive to your earlier comment.

And OPG has been a long staying partner with us. We get a lot of cobalt from them today. Darlington is just another reactor, but we feel pretty darn good about where we sit today and the yield that will come out in 2028. There’s always things that could happen on that, but I’d tell you where we sit today and all the testing and the work that’s been done, the team feels really good about it.

Jason Peterson, Vice President of Investor Relations and Treasurer, Cetera Health0: Great. Last question from me, slightly more nuanced to a prior question, but the growth for 25% constant currency about a point below your LRP, you mentioned to an earlier question, it’s primarily volume is the swing factor. It looks to us that maybe Nelson is the segment at least that would be performing under its target to get to your LRP. Is that the right thought process and therefore you need volume in Nelson? Or is your volume comment really across the segments?

Just trying to pinpoint the area that could drive you into the LRP?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Yes. So I would just I want to make sure the LRP, we gave

John Lyons, Chief Financial Officer, Cetera Health: a revenue guide of 5%

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: to 7%. Our aspiration long term is to get this thing back to where we were high single digits, right, low double digits, but we’re not there yet today, which is why we gave the LRP. But it’s really around Nelson and Sterigenics. That’s the key, right? As those volumes come in, we’ll be able to execute on that and outperform.

That’s what our goals and that’s what our team is set up to do. Noreen is in a pretty good spot of where we’re at. We have a really good view on that and the demand has been pretty wholesome throughout. It’s really around the Nelson and Sterigenics side.

Jason Peterson, Vice President of Investor Relations and Treasurer, Cetera Health0: It’s helpful. Thank you. Appreciate the answers.

John Lyons, Chief Financial Officer, Cetera Health: Thanks, David.

Conference Operator: The next question will come from Michael Pollack with Wolfe Research. Please go ahead.

Patrick Donnelly, Analyst, Citi: Good morning. Follow-up on tariffs. So cobalt was the thing I had identified. Has cobalt historically been exempted when stuff like this happens? And then is there tariff risk elsewhere?

I mean, Sterigenics and Nelson are service businesses. So what’s the nature of the tariff risk for those two, if any?

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Yes. So Mike, to answer your question, yes, it’s been exempt in the past. That’s why we don’t want to get too far out in front and giving comments exactly the impact of the company, because we don’t know exactly what these tariffs if they do come what they’re going to look like. They have been exempt in the past. We feel confident in the way the contracts are structured that the customers will bore the cost of that as it comes in.

In the case of Sterigenics, the other customer in Noreons that would be a CapEx impact, but we feel that’s very manageable within the guide that we’re giving you here today. We’ll look at that as we understand more about tariffs. The only other spot, there’s some materials that come in from China in particular around some of the supply side with Nelson Labs that we know of that could be impact as well. But we don’t think these are really big material numbers, but we don’t have clarity in exactly how it’s going to play out. That’s why we have not incorporated in our guide.

So as we get more visibility, we’ll give clarity to any CapEx impact as well as any operating cost impact. But overall, we feel pretty good about it, although it’s a challenge, right?

Patrick Donnelly, Analyst, Citi: Appreciate that. Sterigenics, the competitor, STERIS sped up notably Q over Q. You kind of have the solid mid single digit growth profile again and guiding low to mid singles for 1Q. So what’s the disconnect there? We’re seeing 10% growth from them.

The numbers from your competitor and Theragenyx haven’t always lined up perfectly quarter to quarter. The trend seems to be friend, but I’m curious for how you assess maybe disconnect in the quarter and short term outlook there? Thank you.

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Thanks, Mike. I would say as we’ve talked about in the past, if you look over multiple quarters, they kind of balance out. When you look at the revenue performance on both businesses, they kind of balance out. That doesn’t mean that one quarter wouldn’t be up versus us or vice versa. When we look at kind of where we’re at today and if I look at the first quarter, I think a couple of factors go into it.

Bioprocessing would be one of them and maybe some other geographies where they’ve got some positions that we don’t, I think are growing a little bit better. And then the other one I would just say as I referenced in some of my earlier comments, we’ve got a couple of customers I think have a little challenges. Again, that’s the minority, it’s not the majority. We’re not seeing that from a stock a destocking perspective. But I feel very good about where we’re at when we look forward in our competitive position.

And listen, our competitors have put out comments about growth rates that unfortunately didn’t materialize for them. And in this current quarter, they’ve got something that they came out. We’ll see how it plays out over periods of time. But I feel good about our position. We got to continue to execute commercially and operationally, and that’s what we’re focused on, taking care of our customers.

Patrick Donnelly, Analyst, Citi: Thank you, Michael.

Conference Operator: This concludes our question and answer session. I would like to turn the conference back over to Mr. Michael Petrus for any closing remarks. Please go ahead, sir.

Michael Petrus, Chairman and Chief Executive Officer, Cetera Health: Thank you. Thank you. Thank you, everybody, for your support. I appreciate your time and your questions today. Obviously, we finished out in 2024 pretty darn consistent with what we told you a year ago what 2024 was going to look like, right?

We said we’d see continued gradual improvement throughout the year. We’re consistent within our guide. We continue to generate free cash flow in this business and are very disciplined on our capital allocation. We look forward to 2025. We feel we’re well positioned as the markets continue to improve.

We’re going to capitalize on those opportunities, but we thank you for your continued support and we look forward to having more positive conversations with you in 2025. So thanks for your time today and have a good day. Bye bye.

Conference Operator: The conference is now concluded. Thank you for attending today’s presentation. You may now disconnect.

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